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General NPI Number Information
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NPI Number | 1487005195
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Entity Type | Organization
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Legal Business Name | MIAMI RENAL INSTITUTE LLC
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Dates
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Enumeration Date | 06/23/2016
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 1050 NW 15TH ST STE 111B
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City | BOCA RATON
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State | FL
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Zip | 33486-1375
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Country | US
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Telephone | 561-560-7524
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Fax | 305-501-4731
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Provider Business Mailing Address
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Address Line | 1050 NW 15TH ST STE 111B
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City | BOCA RATON
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State | FL
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Zip | 33486-1375
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Country | US
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Telephone | 561-560-7524
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Fax | 305-501-4731
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALI NAYER
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Credential | MD
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Telephone | 561-560-7524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | ME103495
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License Number State | FL
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